| NPI | 1043693666 |
|---|---|
| Former Name | STEFANIE ANN ELITHARP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CO 0000817) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI 5901002600) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2018-05-24 |